Depression, anxiety and associated factors among Chinese adolescents during the COVID-19 outbreak: a comparison of two cross-sectional studies

AbstractThe 2019 coronavirus disease (COVID-19) is a public health emergency of international concern. In China, all schools were shut down and students were home quarantined to prevent disease spread; these steps could have potential negative effects on mental health of adolescents. This study aimed to examine changes in depression and anxiety among Chinese adolescents during the COVID-19 epidemic, and explore factors associated with depression and anxiety. Two survey administrations were conducted among Chinese adolescents between February 20 and February 27 and between April 11 and April 19, 2020, respectively. The Center for Epidemiological Studies-Depression Scale (CES-D) and the 7-item Generalized Anxiety Disorder (GAD-7) scale were used to assess depressive symptoms and anxiety symptoms, respectively. A total of 9554 and 3886 adolescents participated in the first and second surveys. During the initial survey, the prevalence of depression was 36.6% (95% CI: 35.6–37.6%) while the prevalence of anxiety was 19% (95% CI: 18.2–19.8%). Rates of depression and anxiety increased to 57.0% (95% CI: 55.4–58.6%) and 36.7% (95% CI: 35.2–38.2%), respectively, in the second survey. Multivariable logistic regression analyses revealed that group membership in the second survey, female gender, senior secondary school enrollment, and concerns about entering a higher grade were positively associated with both depression and anxiety. Conversely, a sleep duration of ≥6 h/day, an exercise duration ≥30 min/day, having the same as typical or higher study efficiency during the COVID-19 outbreak, and living in provinces with 1000–9999 confirmed COVID-19 cases were negatively associated with depression and anxiety. In conclusion, compared to figures reported during the COVID-19 outbreak, the prevalence of depression and anxiety in Chinese adolescents significantly increased after the initial outbreak. Regular screening and appropriate interventions are urgently needed to reduce the risk for emotional disturbances among adolescents during and after the initial COVID-19 outbreaks.

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Depression Among Delivery Agents and its Determinants due to the COVID-19 Pandemic

International Healthcare Research Journal ◽

10.26440/ihrj/0501.04401 ◽

2021 ◽

Vol 5 (1) ◽

pp. OR1-OR4

Author(s):

Sadaf Antoo ◽

Afreen Jan

Keyword(s):

Depression Scale ◽

Lower Class ◽

Epidemiological Studies ◽

Depression And Anxiety ◽

Cross Sectional ◽

Jammu And Kashmir ◽

Lower Middle Class ◽

Significant Difference ◽

Prevalence Of Depression ◽

Post Hoc

INTRODUCTION: The outbreak of the COVID-19 Pandemic has led to depression and anxiety in many people. AIM: To assess depression and its determinants among delivery agents in the Union Territory of Jammu and Kashmir and Punjab State, India.MATERIALS AND METHOD: The present study was online, cross sectional in nature and was conducted among 1248 delivery agents. The level of depression was assessed using a modified version of the Centre for Epidemiological studies- Depression scale (CES-D). Data analysis was done using descriptive statistics and student’s independent t-test followed by the modified Bonferroni post-hoc test applied using SPSS version 21.0.RESULTS: The overall prevalence of depression was found to be 53.7%; Most of the agents belonged to the lower class (59.3%) and Lower Middle Class (36.1%) group. The highest percentage of depression was observed as a result of mortgage (91.3%, non-significant), followed by the fear of losing their job (88.8%) due to the COVID-19 pandemic (p=0.03), and fear of getting COVID-19 (85.9%, non-significant difference). Delivery agents having their own transport seemed to have the lowest depression (26.7%, p=0.04). CONCLUSION: Based on the results of the present study, governmental and industrial policies towards the benefit of the delivery agents is advised and during these testing times, assurance of job security and paid leaves in case of contracting COVID-19 should be beneficial.

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Comorbidities and depression in older adults with HIV

Sexual Health ◽

10.1071/sh11017 ◽

2011 ◽

Vol 8 (4) ◽

pp. 551 ◽

Cited By ~ 53

Author(s):

Richard J. Havlik ◽

Mark Brennan ◽

Stephen E. Karpiak

Keyword(s):

Older Adults ◽

New York ◽

Longitudinal Research ◽

Depressive Symptomatology ◽

Clinical Care ◽

Depression Scale ◽

Female Gender ◽

Epidemiological Studies ◽

Sensory Loss ◽

Cross Sectional

Objective To investigate whether the high rates of depression found in older adults living with HIV are associated with the number and types of comorbidities. Methods: The Research on Older Adults with HIV (ROAH) study collected self-reported health data on ~1000 New York City HIV-positive men and women aged 50 years and older. Participants provided data on health problems experienced in the past year and depressive symptomatology (Center for Epidemiological Studies Depression Scale (CES-D)). Data were analysed using a non-parametric test of association and multiple regression analysis. Results: The correlation between CES-D scores and number of comorbidities was significant (r = 0.24). In multivariate analyses, depression remained a significant covariate of the number of comorbid conditions, in addition to female gender, inadequate income, history of drug and alcohol use, AIDS diagnosis and self-rated health. Correlations of depression with specific comorbidities varied. Significant correlations with sensory loss and dermatological problems were observed. Significant correlations existed with heart and respiratory conditions as well as fractures, but the directionality of these cross-sectional relationships is uncertain. Conclusions: The findings suggest the need for further longitudinal research to understand how high rates of depressive symptoms are related to comorbidities. Focussed clinical care that strives to prevent the collapse of the immune system must evolve into an effective treatment strategy for multimorbidities, where HIV is but one of many other chronic illnesses. If the management of depression continues to be a low priority, the older person with HIV may experience an avoidable reduction in life expectancy.

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Prevalence and correlates of geriatric depression in a rural community in Kerala, India

Journal of Ideas in Health ◽

10.47108/jidhealth.vol4.issspecial2.130 ◽

2021 ◽

Vol 4 (Special2) ◽

pp. 395-401

Author(s):

Ann Mary Thomas ◽

Babita Susan ◽

Jacob Davies Kalliath ◽

Vinu Cherian ◽

Brilly M Rose ◽

...

Keyword(s):

Physical Dependence ◽

Geriatric Depression Scale ◽

Depression Scale ◽

Sampling Technique ◽

Female Gender ◽

Cross Sectional Study ◽

Geriatric Depression ◽

Cross Sectional ◽

Female Ratio ◽

Prevalence Of Depression

Background: Elderly constitutes a vulnerable group for depression, as they are especially prone to suffer adverse consequences of a depressive episode and have greater rates of completed suicides. This study aims to estimate the prevalence and determinants of geriatric depression. Methods: A cross-sectional study was done among 250 elderlies from 1st January 2019 to 1st January 2020 in the different rural blocks of Ernakulam district, India. The multistage sampling technique and the Geriatric Depression Scale (GDS-30) were used to collect the data. A score of 0 9 is considered "normal", 10 19 is labeled as "mildly depressed", and 20 30 as "severely depressed". Statistical analysis was performed using the IBM SPSS software. The Chi-square test /Fisher's exact test was used to study the association between the socio-demographic and behavioral variables with depression. Results: The mean age was 69.33 ± 7.41years and male: female ratio was 0.55: 1.The overall prevalence of depression was 52.4%. Advanced age over 70years [OR=2.04;95% CI, 1.227 – 3.394; P=0.006], female gender[OR=2.844;95% CI,1.663-4.865; P =<0.001], lack of gainful employment [OR=3.504; 95% CI, 1.833–6.699; P =<0.001], physical dependence [OR=0.365;95% CI,0.162–0.821; P =0.012], financial dependence [OR=0.388; 95% CI, 0.219–0.687; P =<0.001], presence of medical co morbidities [OR=0.428; 95% CI, 0.212–0.866; P =0.016],poor lifestyle including the lack of regular exercise [OR =2.020; 95% CI,1.174–3.473; P =0.010], addiction to alcohol [OR=4.932;95%CI,1.600-15.208; P =0.004] and addiction to tobacco smoking [OR=2.905;95%CI,1.273-6.628; P =0.009] and poor family support [OR= 5.180;95% CI,716–15.636; P = 0.002] were found to be significantly associated with depression. Conclusion: The prevalence of depression among the elderlies was high, and hence early diagnosis and prompt treatment are essential to reduce its burden in the community.

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Association between self-care agency and depression and anxiety in patients with diabetic retinopathy

BMC Ophthalmology ◽

10.1186/s12886-021-01883-w ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Bo Zhang ◽

Qin Wang ◽

Xuancan Zhang ◽

Li Jiang ◽

Lezhi Li ◽

...

Keyword(s):

Diabetic Retinopathy ◽

Rural Areas ◽

Self Care ◽

Depression Scale ◽

Anxiety Symptoms ◽

Depression And Anxiety ◽

Clinical Factors ◽

Cross Sectional ◽

History Of ◽

Care Agency

Abstract Background This study aimed at investigating: 1) the relationship between self-care agency and depression and anxiety; 2) the sociodemographic and clinical factors associated with depression and anxiety in patients with diabetic retinopathy (DR) in China. Methods A cross-sectional study was conducted. One-hundred and five patients with DR were recruited. Self-care agency was assessed by the exercise of self-care agency (ESCA) scale. Depression and anxiety were assessed by the hospital anxiety and depression scale (HADS-D and HADS-A). Pearson or Spearman correlations were performed to assess the association between self-care agency and depression and anxiety. Stepwise multivariate linear regression analyses were conducted to assess the contribution of the sociodemographic and clinical factors to depression and anxiety. Results Thirty-six (34.3%) and 43 (41.1%) patients exhibited depressive and anxiety symptoms, respectively. Only 24 (22.9%) patients showed a high self-care agency. The ESCA total and subscale scores were negatively correlated depressive symptoms (P < 0.05). Self-care skills were negatively correlated with anxiety symptoms (P < 0.05). ESCA total score, rural residence, history of hypertension and visual acuity were associated with depression; self-care skills and diastolic blood pressure were associated with anxiety. Conclusions Self-care agency negatively correlates with depression and anxiety in patients with DR. Special attention should be paid to patients living in rural areas and/or those having a history of hypertension when assessing depression and anxiety in patients with DR. Future studies are needed to clarify the causal relationship between self-care agency and depression and anxiety.

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Prevalence of anxiety in patients admitted to a university hospital in southern Brazil and associated factors

Revista Brasileira de Epidemiologia ◽

10.1590/s1415-790x2013000300009 ◽

2013 ◽

Vol 16 (3) ◽

pp. 644-657 ◽

Cited By ~ 7

Author(s):

Inês Gullich ◽

Andrews Barcellos Ramos ◽

Tiago Rafael Anschau Zan ◽

Cíntia Scherer ◽

Raúl Andrés Mendoza-Sassi

Keyword(s):

Health Care ◽

Associated Factors ◽

Depression Scale ◽

Female Gender ◽

Cross Sectional Study ◽

University Hospital ◽

Cross Sectional ◽

Clinical Ward ◽

Long Time ◽

Prevalence Ratios

Objective: To identify the prevalence of anxiety in adults hospitalized in the clinical ward of a university hospital and to analyze the possible associated factors. Method: A cross-sectional study was performed in a university hospital. All interviewees answered a specific questionnaire and the Hospital Anxiety and Depression Scale. A Poisson regression was used to calculate prevalence ratios with 95% confidence intervals. Results: 282 patients were enrolled. The prevalence of anxiety was 33.7% (95%CI 28.2 - 39.3). Characteristics associated with the outcome were female gender (RP 2.44), age ≥ 60 years (PR 0.65), consultation in primary health care (PR 2.37), estimated time of contact between patient and student > 30 min (RP 1.36), high blood pressure (PR 1.57), diabetes mellitus (PR 1.43), and obesity (RP 1.43). Conclusion: This study found prevalence of high anxiety. It may be associated with certain characteristics of the patients (gender, age, chronic diseases); the medical appointment in primary care and time (estimated by the patient) that the student remained with this patient. The need for a focused approach to mental health care within the hospital has been discussed for a long time. The particularity of this study refers to the environment of a university hospital and to what extent the environment and the patient's relationship with the student are associated with higher prevalence of anxiety.

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Prevalence of Depression and Anxiety amongst Cancer Patients in a Hospital Setting: A Cross-Sectional Study

Psychiatry Journal ◽

10.1155/2016/3964806 ◽

2016 ◽

Vol 2016 ◽

pp. 1-6 ◽

Cited By ~ 5

Author(s):

Anish Khalil ◽

Muhammad Faheem ◽

Ammad Fahim ◽

Haran Innocent ◽

Zainab Mansoor ◽

...

Keyword(s):

Cancer Patients ◽

Tertiary Care ◽

Hospital Setting ◽

Depression Scale ◽

Cross Sectional Study ◽

Mental Wellbeing ◽

Anxiety And Depression ◽

Depression And Anxiety ◽

Sectional Study ◽

Cross Sectional

Background. The biomedical care for cancer has not been complemented by psychosocial progressions in cancer care.Objectives. To find the prevalence of anxiety and depression amongst cancer patients in a hospital setting.Design and Setting. This cross-sectional study was conducted at the tertiary care hospitals Shifa International Hospital Islamabad and Nuclear Medicine, Oncology, and Radiotherapy Institute [NORI].Patients and Methods. 300 patients were interviewed from both the outpatient and inpatient department using The Aga Khan University Anxiety and Depression Scale (AKUADS).Main Outcome Measures. Using a score of 20 and above on the AKUADS, 146 (48.7%) patients were suffering from anxiety and depression.Results. When cross tabulation was done between different factors and the cancer patients with anxiety and depression, the following factors were found out to be significant with associatedpvalue < 0.05: education of the patient, presence of cancer in the family, the severity of pain, and the patient’s awareness of his anxiety and depression. Out of 143 (47.7%) uneducated patients, 85 (59.4%) were depressed, hence making it the highest educational category suffering from depression and anxiety.Conclusion. The prevalence of anxiety and depression amongst cancer patients was high showing that importance should be given to screening and counseling cancer patients for anxiety and depression, to help them cope with cancer as a disease and its impact on their mental wellbeing.Limitations. The frequency of female patients in our research was higher than those of male patients.

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The Relationship Between Reported Pain and Depressive Symptoms Among Adolescents

The Journal of School Nursing ◽

10.1177/1059840518787007 ◽

2018 ◽

Vol 36 (2) ◽

pp. 87-93 ◽

Cited By ~ 7

Author(s):

Sofie Borgman ◽

Ida Ericsson ◽

Eva K. Clausson ◽

Pernilla Garmy

Keyword(s):

Abdominal Pain ◽

Back Pain ◽

Depressive Symptoms ◽

Depression Scale ◽

Epidemiological Studies ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Scale Scores ◽

Prevalence Of Pain ◽

The Relationship

Pain and depressive symptoms are common reasons for adolescents to contact the school nurse. The aim was to describe the prevalence of pain (headache, abdominal pain, and back pain) and depressive symptoms among adolescents and to examine whether there is an association between pain and depressive symptoms. This cross-sectional survey included students ( N = 639) in Sweden (median age: 16 years). Over half of the female participants (56%) and one third of male participants (33%) had weekly headaches, abdominal pain, or back pain. Almost every second girl (48%) and one in four boys (25%) had depressive symptoms (as measured by the Center for Epidemiological Studies Depression Scale, scores ≥ 16). There was a significant association between having pain (headache, abdominal pain, or back pain) and having depressive symptoms. It is of great importance for school nurses to adequately identify and treat the cause of pain and other factors contributing to depression.

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Study Of Depression in Elderly: Prevalence and Factors Associated

Journal of Psychiatrists Association of Nepal ◽

10.3126/jpan.v7i2.24609 ◽

2018 ◽

Vol 7 (2) ◽

pp. 16-23

Author(s):

S. Subedi ◽

P. Shrestha ◽

D.K. Thapa

Keyword(s):

Elderly People ◽

Short Form ◽

Demographic Data ◽

Community Sample ◽

Depression Scale ◽

Structured Interview ◽

Mild Depression ◽

Cross Sectional ◽

Factors Associated ◽

Prevalence Of Depression

Introduction: Ageing is a normal phenomenon. Various studies shows that there is a sharp rise in the elderly population in the last few years. Prevalence of depression in elderly is found to around 13% in the community sample in various countries. There is a dearth of study related to psychiatric illness in elderly in Nepal. This study was aimed to find the prevalence of depression in elderly and see for various factors associated with elderly depression. Material And Method: This was a cross-sectional study conducted at Siddharthnagar Municipality, Bhairahawa, Rupandehi. 316 elderly were selected by using systematic random sampling technique. A Semi- structured interview schedule was developed to collect Socio-demographic data. The Short Form Geriatric Depression Scale (SF-GDS) was used to find out the prevalence of depression among elderly people. Ethical Approval was obtained from the Institutional Review Committee, Chitwan Medical College and permission was obtained from Siddharthnagar Municipality, Bhairahawa, Rupandehi. The collected data was entered in Epidata 3.1 and the data was exported and analyzed in IBM SPSS 20. Results: There were a total of 316 samples in this study. The mean age of respondents was 68.47 years of age. Majority of the respondents (54.1%) were female and living in joint Family (72.2%). Almost 45.9% respondents were from upper caste groups, 90.5% of respondents were Hindus. Among the married (100%) respondents, 54.6% of respondents were living with spouse and 3.2% were divorced and separated from spouse. Depression was present in 49.4% of respondents were depressed. Among depressed respondents, 46.7% of respondents were having mild depression, 39.2% moderate depression and 14.1% severe depression. Conclusion: The finding of this study concluded that depression among elderly people was a substantial problem in Siddharthnagar Municipality, Bhairahawa, Rupandehi.

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MO529PREVALENCE AND DETERMINANT FACTORS OF DEPRESSION AND ANXIETY IN PEOPLE WITH CHRONIC KIDNEY DISEASE : A MOROCCAN CROSS-SECTIONAL STUDY

Nephrology Dialysis Transplantation ◽

10.1093/ndt/gfab087.0049 ◽

2021 ◽

Vol 36 (Supplement_1) ◽

Author(s):

Amina Chrifi Alaoui ◽

Mohammed Omari ◽

Noura Qarmiche ◽

Omar Kouiri ◽

Basmat Amal Chouhani ◽

...

Keyword(s):

Chronic Kidney Disease ◽

Kidney Disease ◽

Depression Scale ◽

Clinical Information ◽

Cross Sectional Study ◽

University Hospital ◽

Depression And Anxiety ◽

Cross Sectional ◽

Determinant Factors ◽

Before And After

Abstract Background and Aims The Chronic kidney disease (CKD), like many chronic illnesses, is invariably associated with various psychiatric conditions and poorer quality of life. This study aims to assess the prevalence of depression and anxiety among CKD patient and their determinant factors. Method this is a cross sectional single center study in a Moroccan university hospital. Patients aged ≥ 18 years old and followed for more than one year were included. The data was collected using a questionnaire for sociodemographic and clinical information and the Hospital anxiety and depression scale (HADS) to assess depression and anxiety prevalence. After the description of the population’s characteristics, the statistical analysis aimed to assess the association between depression and anxiety disorders and the estimated glomerular filtration rate before and after adjustment on several confounding factors. Results 88 patients were included (63.6% of them were women, the mean age was 61.8±14.0 years), 21 were on stage 3, 46 were on stage 4, and 21 were on stage 5 of the CKD. The median of depression sub-score was 5.00[2.00; 10.0], the median of anxiety sub-score was 6.00[4.00; 9.00], and the median of the global score was 11.0[7.00; 20.0], 22.0% of included patients had depression and 22.0% had anxiety. Both depression and anxiety scores were associated to eGFR before and after adjustment (p= 0.001, p<0.001and p=0.04, p=0.03 respectively). Conclusion This study showed that depression and anxiety are strongly related to the CKD progression, which should motivate both doctors and nurses to improve their psychological care toward CKD patients.

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Screening of Anxiety and Depression Related CD4 Count of People Living with HIV/AIDS with Anti-Retroviral in Medan, Indonesia

Open Access Macedonian Journal of Medical Sciences ◽

10.3889/oamjms.2019.396 ◽

2019 ◽

Vol 7 (16) ◽

pp. 2590-2594

Author(s):

Dona Farila Agus ◽

Elmeida Effendy ◽

Vita Camellia

Keyword(s):

Negative Correlation ◽

Depression Scale ◽

Severe Depression ◽

Anxiety And Depression ◽

Depression Symptoms ◽

People Living With Hiv ◽

Depression And Anxiety ◽

Cross Sectional ◽

Correlation Strength ◽

Hiv Aids

BACKGROUND: HIV, which causes AIDS, infects the immune system cells, by destroying or damaging the function of the CD4. PLWHA will have twice the risk of experiencing mental health disorders such as depression and anxiety compared with the general population, thereby suppressing immune function, decreasing their quality of life, decreasing the level of adherence to treatment, and contributing significantly to the occurrence of premature death. AIM: To determine the correlation Anxiety and Depression symptoms and CD4 levels in PLWHA who are undergoing Anti-Retroviral treatment at the HIV/AIDS METHODS: The study was a cross-sectional study, which assesses the correlation between Hospital Anxiety and Depression Scale scores (HADS) and CD4 levels in PLWHA who are receiving ARV in the HIV/AIDS Special Services Polyclinic Medan Haji general hospital. RESULTS: It was found that the average HADS-A score, PLWHA was 15.286 and the SD ± 2.244. This shows that PLWHA is in moderate to severe anxiety and moderate to severe depression. The mean CD4 level of people with HIV/AIDS/PLWHA was 288.171 and SD ± 88.955. According to WHO criteria, regarding the classification of HIV immunodeficiency in adults, are classified as moderate immunodeficiency. There was a significant correlation between the HADS-A score and CD4 level with a correlation value of r = -0.592 indicating a negative correlation with a moderate correlation strength, and the correlation between HADS-D score and CD4 level. The strength of the relationship between HADS-D score and CD4 level is r = -0.650, shows a negative correlation with strong correlation strength. CONCLUSION: from this study, it was found that there is a relationship between depression and anxiety symptom and CD4 level.

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